Re: UniversitätsSpital Zürich Facilities for baby birth
I doubt you'd be able to upgrade your room if you only have the basic insurance, but I guess it depends on your health insurer provider. Ask them. General wards here at Fribourg's cantonal hospital are 6 beds, but I don't know if it's different in the maternity wards. Wouldn't think so though.
English, maybe, maybe not. Again only going by when I was in hospital here, but it varies a lot from just about able to communicate with my bad French and their little English to well spoken doctors and nurses. Might be better in Zurich as it has more foreigners to deal with.